| NPI | 1275110538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY D FUENTES Owner 734-307-5378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 177F00000X Lodging |
| 3747A0650X Technician, Attendant Care Provider | |
| 225700000X Massage Therapist | |
| 374U00000X Home Health Aide | |
| 251E00000X Home Health | |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2021-03-30 |